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See a sample rate comparisonCPT 28456 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Tarsal Bone Fracture(Except Talus And Calcaneus) With Manipulation Each Percutaneous Skeletal Fixation Of Tarsal Bone Fracture
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28456 |
| Medicaid Fee Schedule | View Medicaid rates for 28456 |
National average reimbursement for CPT 28456 by major payers:
$469.11
$432.12
$474.10
$578.10
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CPT 28456
5 of 25 sample ratesHigher to lower in this preview
The Western Pennsylvania Hospital, Forbes Regional Campus
Highmark Health
$18,877.48Published rateMnh Gi Surgical Center LLC, Mnh Surgical Center
$2,353.00Published rateEvergreen Eye Center, PLLC, Evergreen Eye Surgery Center
Evergreen Eye Center, Inc. P.S.
$1,387.00Published rateCastle Hills Outpatient Center, Inc., Surgical Arts Center
Castle Hills Outpatient Center Inc
$998.00Published rateThe Rome Endoscopy Center
$525.00Published rate
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See a sample payer proposalCPT 28456 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28456 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 28456 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 28450-CPT | Moderate | Treatment Of Tarsal Bone Fract, Treatment Of Tarsal Bone Fracture (Except Talus Andcalcaneus) Without Manipulation Each Treatmentof Tarsal Bone Fracture (Except Talus And |
| 28455-CPT | Moderate | Treatment Of Tarsal Bone Fract, Treatment Of Tarsal Bone Fracture (Except Talus Andcalcaneus) With Manipulation Each Treatment Oftarsal Bone Fracture (Except Talus And |
| 28456-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Tarsal Bone Fracture(Except Talus And Calcaneus) With Manipulation Each Percutaneous Skeletal Fixation Of Tarsal Bone Fracture |
| 28465-CPT | Moderate | Surgical Repair Of Broken Foot, Surgery To Repair A Broken Bone In The Foot (Tarsal Or Metatarsal). Pins Wires Or Screws May Be Used To Secure The Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28456. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28456 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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